Confirmation form for Maui Sun Divers certification class

Private FULL SCUBA CERTIFICATION

Three days 6 real dives certification - $400.00
Four days 8 real dives certification - $500.00
(2 person minimum)
This is a real certification course. You WILL learn to dive!

TIME TO GET STARTED!
RESERVE ASAP AND WE'LL GET YOUR HOMEWORK OUT TO YOU NOW!

To confirm your reservation & ensure your scuba gear is a custom tailored fit, please complete the form below!

Diving Information

$400 - 3 days, 6 dives
$500 - 4 days, 8 dives

	Names	Age	Height Ft' & In"	Weight Lbs	Shoe Size	Men's or Women's	Swimming Ability ¹	Previous Scuba Experience	Last Dive?
^¹ Good: I'm comfy in H₂O & can easily swim 100 yards. Fair: Can comfortably swim 100 yards (slowly), comfy in H₂). Poor: I am not very comfortable in the water.
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Contact Information

Name:

Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

*E-mail:

Health

Any Health Problems?

Medications?

Maui Information

Please provide us with some information regarding your stay in Maui (dates and contact information) below.

Arrive Maui?

Depart Maui?

Preferred dive dates?

Maui Address:

Maui Contact Info:

Comments or questions?

Underwater photography available all our dives!

Payment Information

There is a 4% state excise tax on EVERYTHING in HAWAII.

Please call 877-879-3337 with your MC or Visa information to confirm your scuba reservations.

Have to cancel? Give at least one full week notice and we'll gladly return your deposit.

More Questions? GREAT! By E-mail: sundiver@maui.net,
or call us toll free at 1-877-879-3337.

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